CMS Price Transparency Data

Group therapy session

Facility: Loma Linda University Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$126
about 1.2× the $104 Medicare rate · typically $51–$175
modeled estimate · not a bill or quote
What this hospital charges insurers
$129
About the fair price
about $3 over the fair price · 1.2× Medicare
Medicare pays $104 Fair price $126 This hospital $129 Cash price $185 Hospital's list price $411

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $129

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $126 (about 1.2× the $104 Medicare rate). Loma Linda University Medical Center charges insurers about $129, or about $185 in cash — about the fair price. Located in Loma Linda, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $118 - $926 114%
Blue Cross Blue Shieldmajor $95 - $1,088 92%
Aetnamajor $145 - $1,125 140%
Cignamajor $153 - $1,370 147%
Kaiser Permanentemajor $46 - $1,235 44%
Health Net $610 - $800 588%
Molina $157 151%
+ 16 smaller / regional plans $41 - $1,667
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 11234 Anderson St, Loma Linda, CA 92354
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals